Q.U.E.E.N.S. Period! Volunteer Sign up Form

Volunteer Sign up Form

Thank you for you interest in volunteering with us. Your placement and work time will be confirmed 15 days prior to the event.
Full Name*

First NameLast Name
E-mail*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Are you over 18?*

YesNo
Where did you hear about us?*
Is your Company/Organization/Group Volunteering?*

YesNo
Company/Group/Organization/
How members are you in your Group
Any special message you need us to know/
As a volunteer, I release and hold harmless Q.U.E.E.N.S. Period! and their successors from any and all claims, costs, suits, actions, judgments, or expenses upon any damage, loss, or injury to me or to my property which may arise from this volunteer event. I acknowledge that I am fully aware of any and all risks posed by these volunteer activities and that I have no medical condition that prevents me from engaging in them. I also give permission to be photographed by project partners or the media for use in printed materials, through the internet, or through other media outlets. In signing below, I acknowledge that I have read and understand this volunteer agreement.
Volunteer Signature (Parent Signature if under 18)

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Should be Empty: